Individual
MISTY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CMHC
Contact information
Practice address
3300 N TRIUMPH BLVD STE 100, LEHI, UT 84043-5046
(385) 439-8081
Mailing address
3300 N TRIUMPH BLVD STE 100, LEHI, UT 84043-5046
(385) 439-8081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8484427-6004
UT
101YP2500X
Professional Counselor
8484427-6004
UT
Other
Enumeration date
09/13/2013
Last updated
10/06/2020
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